Individual provider Active NPI

Rabakka Fulkerson, D.AC

  • Acupuncturist
  • Hilo, HI
National Provider Identifier
1881256030
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU1288 Issued in HI
Practice address
234 Waianuenue Ave Ste 101
Hilo, HI 96720-2418
Phone
(808) 489-4272
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU1288 HI Primary

Addresses

Primary practice location

234 Waianuenue Ave Ste 101
Hilo, HI 96720-2418

Mailing address

234 Waianuenue Ave Ste 101
Hilo, HI 96720-2418
Phone (808) 489-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACU1288HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Healing Center, LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

234 Waianuenue Ave
Ste 101
Hilo, HI 96720
Phone (808) 489-4272

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1881256030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WAIANUENUE AVE STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202418",
            "telephone_number": "808-489-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WAIANUENUE AVE STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202418",
            "telephone_number": "808-489-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKERSON",
        "first_name": "RABAKKA",
        "credential": "D.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.